Epilepsy Emergencies: Diagnosis and Management

被引：41

作者：

Foreman, Brandon ^{[2
]}

Hirsch, Lawrence J. ^{[1
]}

机构：

[1] Yale Univ, Sch Med, Div Epilepsy & EEG, New Haven, CT 06520 USA

[2] Columbia Univ, Med Ctr, Neurol Inst New York, Comprehens Epilepsy Ctr, New York, NY 10032 USA

来源：

NEUROLOGIC CLINICS | 2012年 / 30卷 / 01期

关键词：

Epilepsy; Seizures; Status epilepticus; Coma; Intensive care unit; Nonconvulsive seizures; Critical care; REFRACTORY STATUS EPILEPTICUS; NONCONVULSIVE STATUS EPILEPTICUS; TRAUMATIC BRAIN-INJURY; CONVULSIVE STATUS EPILEPTICUS; ADD-ON TREATMENT; ACUTE SYMPTOMATIC SEIZURE; INTENSIVE-CARE-UNIT; CRITICALLY-ILL; CONTINUOUS EEG; INTRAVENOUS LEVETIRACETAM;

D O I：

10.1016/j.ncl.2011.09.005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Seizures and status epilepticus are epilepsy emergencies with high morbidity and mortality. Early treatment is crucial, and the identification of an underlying etiology informs both continued treatment and prognosis. Many patients have underdiagnosed nonconvulsive seizures or nonconvulsive status epilepticus, particularly the comatose or critically ill. Timely EEG can be useful for diagnosis, management, optimizing treatment response, and determining prognosis in these patients. Refractory conditions can be quite complicated with limited evidence-based guidance, but treatment should not be restricted by nihilism even in the most prolonged cases, especially if there is not widespread irreversible brain injury.

引用

页码：11 / +

页数：32

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